Individual
DR. NISH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7790 W GRAND PKWY S STE 100, RICHMOND, TX 77406-5830
(281) 690-4678
Mailing address
7790 W GRAND PKWY S STE 100, RICHMOND, TX 77406-5830
(281) 690-4678
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
BP10046758
TX
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
Q3437
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374917801
—
TX
05
—
374917802
—
TX
Enumeration date
04/22/2013
Last updated
03/17/2018
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